Question

Parents of a newborn are concerned about the pinpoint red dots on their infant's face and neck. How should the nurse respond?

A. They are obstructed sebeceous glands
B. They are excessive superficial capillaries
C. The cause is a decreased vitamin K level in the newborn
D. The cause is an increased intravascular pressure during birth

Answer 1

The pinpoint red dots, or petechiae, on a newborn's face and neck are commonly due to increased intravascular pressure during birth and typically resolve without treatment.

Step-by-step explanation:

The pinpoint red dots on a newborn's face and neck, referred to as petechiae, are commonly seen in newborns and are usually harmless. They are often due to increased intravascular pressure during the birthing process, which can cause some of the tiny blood vessels (capillaries) to burst. Considering the options provided, they are more likely to represent increased intravascular pressure during birth (D).

It should not be confused with newborn acne, which is typically a result of obstructed sebaceous glands and presents differently. The parents should be reassured that these red dots are not uncommon in newborns and often resolve on their own without treatment. However, if they have concerns or if the spots are spreading, they should consult their healthcare provider.